Targeted Immunotherapy for High-Risk T-Cell ALL & Lymphoma After Transplant

This study is testing the safety of a targeted immunotherapy called daratumumab (DARA) given after a stem cell transplant (allogeneic hematopoietic stem cell transplantation, or AlloHCT) for children, adolescents, and young adults (up to 39 years old) with high-risk T-cell acute lymphoblastic leukemia (T-ALL) or T-cell lymphoblastic lymphoma (T-LLy). You may be eligible if your T-cell ALL is in a second or later remission, or if your T-LLy has responded completely to re-induction therapy. The main goal is to see if daratumumab is safe, specifically looking at any dose-limiting toxicities within 60 days. This study is currently unclear on its recruitment status and plans to enroll 30 participants.

Study design
This is a Phase 1 interventional study designed to determine the safety of daratumumab. It will enroll 30 participants, with the first 15 patients testing three different dose levels.
What's involved
Participants will receive daratumumab intravenously weekly for 8 weeks, then every two weeks for 16 weeks, and finally every four weeks until day +270 after transplant.
Compensation
Not stated in the trial record.
Follow-up
The primary safety endpoint is measured at 60 days after treatment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT04972942

Targeted Immunotherapy After Myeloablative TBI-Based Conditioning & AlloHCT in CAYA With High Risk T-Cell ALL & Lymphoma

Recruiting
PHASE1Up to 39InterventionalTreatment
New York Medical College
~30 participants
Updated 2026-09-11 on ClinicalTrials.gov
What's tested:Daratumumab

At a glance

Recruiting sites
8 of 16 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Patients with dose limiting toxicity (per CTCAE v.5)
Measured over 60 days
T-cell Acute Lymphoblastic Leukemia
T-Cell Acute Lymphoblastic Lymphoma

NCT04972942

Where you'd take part

This study runs at 16 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Boston Children's Hospital

    Boston, Massachusettsstudy coordinator listed

    Recruiting

  • Children's Hospital Colordao

    Aurora, Coloradostudy coordinator listed

    Not yet recruiting

  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvaniastudy coordinator listed

    Recruiting

  • Children's National Medical Center

    Washington D.C., District of Columbiastudy coordinator listed

    Not yet recruiting

  • Helen DeVos Children's Hospital

    Grand Rapids, Michiganstudy coordinator listed

    Recruiting

  • Loma Linda University Children's Hospital

    Loma Linda, Californiastudy coordinator listed

    Recruiting

  • New York Medical College

    Vallhala, New Yorkstudy coordinator listed

    Recruiting

  • Riley Children's Hospital

    Indianapolis, Indianastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Mitchell Cairo, MD · STUDY_CHAIR · New York Medical College
  • Troy Quigg, DO · STUDY_CHAIR · Helen DeVos Children's Hospital
  • Allyson Flower, MD · STUDY_CHAIR · New York Medical College

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Eligibility criteria

Inclusion

0-39yrs
T-cell ALL in second or subsequent remission (≤ 5% blasts) or relapsed T-cell LLy with complete response after re-induction therapy (including secondary malignancy)
Planned allogeneic stem cell transplantation with donor identified
Performance status ≥ 60%
Fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study
Meet organ function requirements
Signed IRB approved informed consent

Exclusion

May not have had a prior autologous or allogenic stem cell transplant
May not have uncontrolled, systemic infection at the time of enrollment
Known allergies, hypersensitivity, or intolerance to mannitol, sorbitol, corticosteroids, monoclonal antibodies or human proteins, or their excipients
Must not be pregnant or actively breast feeding
Seropositive for HIV, hepatitis B or hepatitis C
COPD
Asthma
Clinically significant cardiac disease
  • Patients with dose limiting toxicity (per CTCAE v.5)60 days

    occurrence of any Grade ≥ 3 non hematologic toxicity (per CTCAE v.5) which is probably, or definitely related to daratumumab